The Annals of African Surgery is the official publication of the Surgical Society of Kenya.


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Laser Hemorrhoidoplasty: Experience at Aga Khan University Hospital

Abdallah Abdulkarim, Misoi Brian, Gathege Daniel

Aga Khan University Hospital​

Correspondence to: Dr. Abdallah Abdulkarim, P.O Box 30270-00100, Nairobi. Email:


Background: Haemorrhoidal disease is the commonest benign anal condition diagnosed in the outpatient set-up. Interventional treatment options range widely from office-based procedures to haemorrhoidectomy. There is increasing use of laser technology in the field of proctology. We present our index clinical outcomes following laser haemorrhoidoplasty (LHP). Methodology: Retrospective cross-sectional study of 21 consecutive patients who underwent LHP between the year 2015 and 2018 under a single surgeon. Their outcomes were compared to a group of patients who underwent the standard open haemorrhoidectomy over the same period of time. Results: Post operatively, 85.7 % of patients post laser haemorrhoidoplasty had a better pain scores (mild) compared to 66.7% in the open haemorrhoidectomy group. The mean operative time in minutes was shorter for LHP, 29.67±17.50 versus 39.20±20.77 in the open group. Duration of hospital stay in days between the two groups were similar; LHP group median=1(1-3), open group median =1 (1-3). Rates of infection, recurrence and urinary complications were however higher in the laser group, 4.8%, 9.5% and 9.5% respectively as compared to the open haemorrhoidectomy group that were 0%, 6.7% and 6.7 % respectively. Both groups had no reported cases of stool or flatus incontinence. Conclusion: Laser haemorrhoidoplasty is associated with reduced pain scores and shorter operative time when compared to the open haemorrhoidectomy group. Duration of hospital stay were however similar in both groups. The rates of complications were observed to be high in the study group.

Key words:Laser haemorrhoidoplasty, Pain score, Complications, Open haemorrhoidectomy

Ann Afr Surg. 2020; 17(2):***


Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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